DOI QR코드

DOI QR Code

Current status of the surgery-first approach (part I): concepts and orthodontic protocols

  • Choi, Dong-Soon (Department of Orthodontics, College of Dentistry, Gangneung-Wonju National University) ;
  • Garagiola, Umberto (Biomedical, Surgical and Oral Sciences Department, Maxillofacial and Dental Unit, School of Dentistry, University of Milan) ;
  • Kim, Seong-Gon (Department of Oral and Maxillofacial Surgery, College of Dentistry, Gangneung-Wonju National University)
  • Received : 2019.01.14
  • Accepted : 2019.02.15
  • Published : 2019.12.31

Abstract

The "surgery-first" approach, defined as a team approach between surgeons and orthodontists for orthognathic surgery without preoperative orthodontic treatment, is aimed at dental decompensation. A brief historical background and indications for the surgery-first approach are reviewed. Considering the complicated mechanism of postoperative orthodontic treatment, the proper selection of patients is a vital component of successful surgery-first approach.

Keywords

References

  1. Poulton DR, Taylor RC, Ware WH (1963) Cephalometric X-ray evaluation of the vertical osteotomy correction of mandibular prognathism. Oral Surg Oral Med Oral Pathol 16:807-820 https://doi.org/10.1016/0030-4220(63)90319-0
  2. Bell WH, Creekmore TD (1973) Surgical-orthodontic correction of mandibular prognathism. Am J Orthod 63:256-270 https://doi.org/10.1016/0002-9416(73)90351-5
  3. Proffit WR, Miguel JA (1995) The duration and sequencing of surgical orthodontic treatment. Int J Adult Orthodon Orthognath Surg 10:35-42
  4. Proffit WR, White RP (2011) Development of surgeon-orthodontist interaction in orthognathic surgery. Semin Orthod 17:183-185 https://doi.org/10.1053/j.sodo.2011.02.002
  5. Lee YC, Sohn HB, Kim SK, Bae OY, Lee JH (2015) A novel method for the management of proximal segment using computer assisted simulation surgery: correct condyle head positioning and better proximal segment placement. Maxillofac Plast Reconstr Surg 37:21 https://doi.org/10.1186/s40902-015-0023-3
  6. Huang CS, Chen YR (2015) Orthodontic principles and guidelines for the surgery-first approach to orthognathic surgery. Int J Oral Maxillofac Surg 44:1457-1462 https://doi.org/10.1016/j.ijom.2015.05.023
  7. Wilcko WM, Wilcko T, Bouquot JE et al (2001) Rapid orthodontics with alveolar reshaping: two case reports of decrowding. Int J Periodontics Restorative Dent 21:9-19
  8. Liou EJW, Chen PS, Wang YC, Yu CC, Huang CS, Chen YR (2011) Surgery-first accelerated orthognathic surgery: postoperative rapid orthodontic tooth movement. J Oral Maxillofac Surg 69:781-785 https://doi.org/10.1016/j.joms.2010.10.035
  9. Yaffe A, Fine N, Binderman I (1994) Regional accelerated phenomenon in the mandible following mucoperiosteal flap surgery. J Periodontol 65:79-83 https://doi.org/10.1902/jop.1994.65.1.79
  10. Pelo S, Gasparini G, Garagiola U et al (2017) Surgery-first orthognathic approach vs traditional orthognathic approach: oral health-related quality of life assessed with 2 questionnaires. Am J Orthod Dentofac Orthop 152:250-254 https://doi.org/10.1016/j.ajodo.2016.12.022
  11. Nurminen L, Pietila T, Vinkka-Puhakka H (1999) Motivation for and satisfaction with orthodontic-surgical treatment: a retrospective study of 28 patients. Eur J Orthod 21:79-87 https://doi.org/10.1093/ejo/21.1.79
  12. Luther F, Morris DO, Hart C (2003) Orthodontic preparation for orthognathic surgery: how long does it take and why? A retrospective study. Br J Oral Maxillofac Surg 41:401-406 https://doi.org/10.1016/S0266-4356(03)00163-3
  13. Liao YF, Chiu YT, Huang CS, Ko EW, Chen YR (2010) Presurgical orthodontics versus no presurgical orthodontics: treatment outcome of surgicalorthodontic correction for skeletal class III open bite. Plast Reconstr Surg 126:2074-2083 https://doi.org/10.1097/PRS.0b013e3181f52710
  14. Hernandez-Alfaro F, Guijarro-Martinez R, Molina-Coral A et al (2011) "Surgery first" in bimaxillary orthognathic surgery. J Oral Maxillofac Surg 69:e201-e207 https://doi.org/10.1016/j.joms.2011.01.010
  15. Aziz SR (2004) Simon P. Hullihen and the origin of orthognathic surgery. J Oral Maxillofac Surg 62:1303-1307 https://doi.org/10.1016/j.joms.2003.08.044
  16. Goldwyn RM (1973) Simon P. Hullihen: pioneer oral and plastic surgeon. Plast Reconstr Surg 52:250-257 https://doi.org/10.1097/00006534-197309000-00005
  17. Dingman R (1944) Surgical correction of mandibular prognathism: an improved method. Am J Oral Surg 30:683-692 https://doi.org/10.1016/S0096-6347(44)90068-2
  18. Skaggs JE (1959) Surgical correction of prognathism. Am J Orthod 45:265-271 https://doi.org/10.1016/0002-9416(59)90085-5
  19. Behrman SJ, Behrman DA (1988) Oral surgeons' considerations in surgical orthodontic treatment. Dent Clin N Am 32:481-507
  20. Brachvogel P, Berten JL, Hausamen JE (1991) Surgery before orthodontic treatment: a concept for timing the combined therapy of skeletal dysgnathias. Dtsc Zahn Mund Kieferheilkd Zentralbl 79:557-563
  21. Nagasaka H, Sugawara J, Kawamura H, Nanda R (2009) "Surgery first" skeletal class III correction using the skeletal anchorage system. J Clin Orthod 43:97-105
  22. Pelo S, Saponaro G, Patini R et al (2017) Risks in surgery-first orthognathic approach: complications of segmental osteotomies of the jaws. A systematic review Eur Rev Med Pharmacol Sci 21:4-12
  23. Sarver D, Jacobson RS (2007) The aesthetic dentofacial analysis. Clin Plast Surg 34:369-394 https://doi.org/10.1016/j.cps.2007.05.008
  24. O'Brien K, Wright J, Conboy F et al (2009) Prospective, multi-center study of the effectiveness of orthodontic/orthognathic surgery care in the United Kingdom. Am J Orthod Dentofac Orthop 135:709-714 https://doi.org/10.1016/j.ajodo.2007.10.043
  25. Yu HB, Mao LX, Wang D, Fang B, Shen SG (2015) The surgery-first approach in orthognathic surgery: a retrospective study of 50 cases. Int J Oral Maxillofac Surg 44:1463-1467 https://doi.org/10.1016/j.ijom.2015.05.024
  26. Liou EJ, Chen PH, Wang YC et al (2011) Surgery-first accelerated orthognathic surgery: orthodontic guidelines and setup for model surgery. J Oral Maxillofac Surg 69:771-780 https://doi.org/10.1016/j.joms.2010.11.011
  27. Villegas C, Uribe F, Sugawara J, Nanda R (2010) Expedited correction of significant dentofacial asymmetry using a "surgery first" approach. J Clin Orthod 44:97-103
  28. Uribe F, Janakiraman N, Shafer D, Nanda R (2013) Three-dimensional conebeam computed tomography-based virtual treatment planning and fabrication of a surgical splint for asymmetric patients: surgery first approach. Am J Orthod Dentofac Orthop 144:748-758 https://doi.org/10.1016/j.ajodo.2012.10.029
  29. Hernandez-Alfaro F, Guijarro-Martinez R (2014) On a definition of the appropriate timing for surgical intervention in orthognathic surgery. Int J Oral Maxillofac Surg 43: 846-855 https://doi.org/10.1016/j.ijom.2014.02.007
  30. Wang YC, Ko EW, Huang CS, Chen YR, Takano-Yamamoto T (2010) Comparison of transverse dimensional changes in surgical skeletal Class III patients with and without presurgical orthodontics. J Oral Maxillofac Surg 68:1807-1812 https://doi.org/10.1016/j.joms.2009.09.089
  31. Lee J, Kim YI, Hwang DS, Kim KB, Park SB (2014) Effect of occlusal vertical dimension changes on postsurgical skeletal changes in a surgery-first approach for skeletal Class III deformities. Am J Orthod Dentofac Orthop 146:612-619 https://doi.org/10.1016/j.ajodo.2014.07.024
  32. Ko EW, Lin SC, Chen YR, Huang CS (2013) Skeletal and dental variables related to the stability of orthognathic surgery in skeletal Class III malocclusion with a surgery-first approach. J Oral Maxillofac Surg 71:e215-e223 https://doi.org/10.1016/j.joms.2012.12.025
  33. Parker CD, Nanda RS, Currier GF (1995) Skeletal and dental changes associated with the treatment of deep bite malocclusion. Am J Orthod Dentofac Orthop 107:382-393 https://doi.org/10.1016/S0889-5406(95)70091-9
  34. Choi JW, Lee JY, Yang SJ, Koh KS (2015) The reliability of a surgery-first orthognathic approach without presurgical orthodontic treatment for skeletal class III dentofacial deformity. Ann Plast Surg 74:333-341 https://doi.org/10.1097/SAP.0b013e318295dcce
  35. Park HM, Lee YK, Choi JY, Baek SH (2014) Maxillary incisor inclination of skeletal Class III patients treated with extraction of the upper first premolars and two-jaw surgery: conventional orthognathic surgery vs surgery-first approach. Angle Orthod 84:720-729 https://doi.org/10.2319/072113-529.1
  36. Sugawara J, Aymach Z, Nagasaka DH et al (2010) "Surgery first" orthognathics to correct a skeletal Class II malocclusion with an impinging bite. J Clin Orthod 44:429-438
  37. Hwang HS, Oh MH, Oh HK, Oh H (2017) Surgery-first approach in correcting skeletal Class III malocclusion with mandibular asymmetry. Am J Orthod Dentofac Orthop 152:255-267 https://doi.org/10.1016/j.ajodo.2014.10.040
  38. Baek SH, Ahn HW, Kwon YH, Choi JY (2010) Surgery-first approach in skeletal Class III malocclusion treated with 2-jaw surgery: evaluation of surgical movement and postoperative orthodontic treatment. J Craniofac Surg 21:332-338 https://doi.org/10.1097/SCS.0b013e3181cf5fd4
  39. Park KR, Kim SY, Park HS, Jung YS (2013) Surgery-first approach on patients with temporomandibular joint disease by intraoral vertical ramus osteotomy. Oral Surg Oral Med Oral Pathol Oral Radiol 116:e429-e436 https://doi.org/10.1016/j.oooo.2011.11.038
  40. Schwartz HC (2011) Efficient surgical management of mandibular asymmetry. J Oral Maxillofac Surg 69:645-654 https://doi.org/10.1016/j.joms.2009.03.009
  41. Hsu SS, Gateno J, Bell RB et al (2013) Accuracy of a computer-aided surgical simulation protocol for orthognathic surgery: a prospective multicenter study. J Oral Maxillofac Surg 71:128-142 https://doi.org/10.1016/j.joms.2012.03.027
  42. Gateno J, Xia J, Teichgraeber JF, Rosen A, Hultgren B, Vadnais T (2003) The precision of computer-generated surgical splints. J Oral Maxillofac Surg 61:814-817 https://doi.org/10.1016/S0278-2391(03)00240-4
  43. Jacobs JD, Sinclair PM (1983) Principles of orthodontic mechanics in orthognathic surgery cases. Am J Orthod 84:399-407 https://doi.org/10.1016/0002-9416(93)90003-P
  44. Grubb J, Evans C (2007) Orthodontic management of dentofacial skeletal deformities. Clin Plast Surg 34:403-415 https://doi.org/10.1016/j.cps.2007.05.002
  45. Proffit WR, Fields HW, Sarver DM (2013) Combined surgical and orthodontic treatment, in contemporary orthodontics, 5th edn. Elsevier, St. Louis, pp 715-724
  46. Huang CS, Hsu SS, Chen YR (2014) Systematic review of the surgery-first approach in orthognathic surgery. Biom J 37:184-190 https://doi.org/10.4103/2319-4170.126863
  47. Peiro-Guijarro MA, Guijarro-Martinez R, Hernandez-Alfaro F (2016) Surgery first in orthognathic surgery: a systematic review of the literature. Am J Orthod Dentofac Orthop 149:448-462 https://doi.org/10.1016/j.ajodo.2015.09.022
  48. Hernandez-Alfaro F, Guijarro-Martinez R, Peiro-Guijarro MA (2014) Surgery first in orthognathic surgery: what have we learned? A comprehensive workflow based on 45 consecutive cases. J Oral Maxillofac Surg 72:376-390 https://doi.org/10.1016/j.joms.2013.08.013
  49. Kim JY, Jung HD, Kim SY, Park HS, Jung YS (2014) Postoperative stability for surgery-first approach using intraoral vertical ramus osteotomy: 12 month follow-up. Br J Oral Maxillofac Surg 52:539-544 https://doi.org/10.1016/j.bjoms.2014.03.011
  50. Kim CS, Lee SC, Kyung HM, Park HS, Kwon TG (2014) Stability of mandibular setback surgery with and without presurgical orthodontics. J Oral Maxillofac Surg 72:779-787 https://doi.org/10.1016/j.joms.2013.09.033
  51. Ko EW, Hsu SS, Hsieh HY, Wang YC, Huang CS, Chen YR (2011) Comparison of progressive cephalometric changes and postsurgical stability of skeletal Class III correction with and without presurgical orthodontic treatment. J Oral Maxillofac Surg 69:1469-1477 https://doi.org/10.1016/j.joms.2010.07.022

Cited by

  1. Current Orthognathic Practice in India: Do We Need to Change? vol.19, pp.1, 2019, https://doi.org/10.1007/s12663-019-01269-y
  2. Patient First: Surgery First and More vol.32, pp.8, 2019, https://doi.org/10.1097/scs.0000000000007766
  3. Surgical treatment of a skeletal Class III patient using customized brackets based on the CAD/CAM virtual orthodontic system vol.91, pp.5, 2019, https://doi.org/10.2319/060820-528.1